Chartier Karen G, Carmody Tom, Akhtar Maleeha, Stebbins Mary B, Walters Scott T, Warden Diane
Virginia Commonwealth University School of Social Work, 1000 Floyd Avenue, PO Box 842027, Richmond, VA 23284, USA; Virginia Commonwealth University School of Medicine, Department of Psychiatry, Richmond, VA, USA.
University of Texas Southwestern Medical Center at Dallas, Department of Psychiatry, 5323 Harry Hines Blvd., Dallas, TX, 75390-9066, USA.
J Subst Abuse Treat. 2015 Dec;59:74-82. doi: 10.1016/j.jsat.2015.07.008. Epub 2015 Jul 26.
This study explored Hispanic subgroup differences in substance use treatment outcomes, and the relationship of acculturation characteristics to these outcomes. Data were from a multisite randomized clinical trial of motivational enhancement therapy versus treatment as usual in a sample of Spanish-speaking substance abusers. Participants were Cuban American (n=34), Mexican American (n=209), Puerto Rican (n=78), and other Hispanic American (n=54). Results suggested that Cuban Americans and individuals with more connection to Hispanic culture had lower treatment retention. Hispanics born in the U.S and those who spoke English at home had a lower percentage of days abstinent during weeks 5-16, although Puerto Ricans born in the U.S. and Cuban Americans living more years in the U.S. had a higher percentage of days abstinent in weeks 1-4 and 5-16, respectively. Results may inform future hypothesis-driven studies in larger Hispanic treatment seeking samples of the relationship between acculturation and treatment outcome.
本研究探讨了西班牙裔亚组在物质使用治疗结果方面的差异，以及文化适应特征与这些结果之间的关系。数据来自一项多地点随机临床试验，该试验对比了动机增强疗法与常规治疗，样本为讲西班牙语的药物滥用者。参与者包括古巴裔美国人（n = 34）、墨西哥裔美国人（n = 209）、波多黎各裔美国人（n = 78）以及其他西班牙裔美国人（n = 54）。结果表明，古巴裔美国人以及与西班牙文化联系更紧密的个体治疗留存率较低。在美国出生且在家说英语的西班牙裔在第5 - 16周的禁欲天数比例较低，不过在美国出生的波多黎各裔和在美国生活年限更长的古巴裔美国人在第1 - 4周和第5 - 16周的禁欲天数比例分别更高。研究结果可为未来在更大规模寻求治疗的西班牙裔样本中开展的、关于文化适应与治疗结果关系的假设驱动研究提供参考。
